Individual
JUSTINE WALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
359 MAIN ST, SOUTHINGTON, CT 06489-4538
(860) 621-3729
Mailing address
8 JAMES PL, PLAINVILLE, CT 06062-2549
(860) 681-5443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014995
CT
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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